Full Time PCC - Patient Care Coordinator

Trinity Health•Fort Lauderdale, FL

22h•Onsite

About The Position

Schedule patient appointments. Collaborate with Clinical Coordinator in scheduling new and walk-in patient visits. Establish a system to track cancelled appointments and reschedule cancelled patients immediately. In conjunction with the Clinical Coordinator, maintain a new patient scheduling system based on referral source preference, panel physician insurance participation, medical staff by-laws restrictions (podiatrists), and panel physician preference, specialty, and rotation status. Make patient appointment confirmation calls one day prior to the scheduled appointment. Answer the phone promptly (within 3 rings) in a positive and professional manner. Obtain all information on the new patient information sheet during the initial appointment scheduling call. Maintain a current list of insurance plans in which the Hospital and each panel physician participates. Arrange patient transportation as needed. Obtain insurance pre-certifications and authorizations as needed and furnish to treating panel physician. Advise patients of the treatments, tests and procedures covered by their payor source. Complete ABN notices as required. Review patient co-pay and deductible information with the patient and family as appropriate. Register the patients in the Hospital registration system. Obtain insurance pre-certifications/authorizations. Establish a system to track managed care patients and the number of approved visits. Prior to the last approved visit, obtain approval from the payor for any additional visits. Coordinate and perform daily charge entry per Hospital policy. Ensure that the hospital postings of all adjustments based on insurance type and date of service are accurate. Reconcile month end statistics with the Program Director and Clinical Manager. Review Charge Master, with Program Director, as needed. Update the charge master and the super bill when appropriate based on new CMS data distributed by Healogics RCM Department, and under the direction of the Program Director. Maintain safe environment and follow all Hospital and Healogics policies and procedures. Maintain a professional appearance and manner at all times. Interact in a courteous manner, whether by phone or in person with all patients, family members, visitors and staff. Report all unusual occurrences and issues to the Program Director. Maintain strict patient and staff confidentiality.

Requirements

Full Time
Day Shift

Responsibilities

Schedule patient appointments
Collaborate with Clinical Coordinator in scheduling new and walk-in patient visits
Establish a system to track cancelled appointments and reschedule cancelled patients immediately
Maintain a new patient scheduling system based on referral source preference, panel physician insurance participation, medical staff by-laws restrictions (podiatrists), and panel physician preference, specialty, and rotation status
Make patient appointment confirmation calls one day prior to the scheduled appointment
Answer the phone promptly (within 3 rings) in a positive and professional manner
Obtain all information on the new patient information sheet during the initial appointment scheduling call
Maintain a current list of insurance plans in which the Hospital and each panel physician participates
Arrange patient transportation as needed
Obtain insurance pre-certifications and authorizations as needed and furnish to treating panel physician
Advise patients of the treatments, tests and procedures covered by their payor source
Complete ABN notices as required
Review patient co-pay and deductible information with the patient and family as appropriate
Register the patients in the Hospital registration system
Obtain insurance pre-certifications/authorizations
Establish a system to track managed care patients and the number of approved visits
Prior to the last approved visit, obtain approval from the payor for any additional visits
Coordinate and perform daily charge entry per Hospital policy
Ensure that the hospital postings of all adjustments based on insurance type and date of service are accurate
Reconcile month end statistics with the Program Director and Clinical Manager
Review Charge Master, with Program Director, as needed
Update the charge master and the super bill when appropriate based on new CMS data distributed by Healogics RCM Department, and under the direction of the Program Director
Maintain safe environment and follow all Hospital and Healogics policies and procedures
Maintain a professional appearance and manner at all times
Interact in a courteous manner, whether by phone or in person with all patients, family members, visitors and staff
Report all unusual occurrences and issues to the Program Director
Maintain strict patient and staff confidentiality